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Review Question - QID 217528

Obstetric Brachial Plexopathy (Erb's, Klumpke's Palsy) Treatment  - General Operative QID: 217528 (OBQ21.209)
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QID 217528 (Type "217528" in App Search)
A three-month old infant is evaluated in clinic for concerns of a right brachial plexus birth injury (BPBI). The patient was delivered vaginally, which was complicated by prolonged extraction secondary to shoulder dystocia. On exam, the patient’s right upper extremity is adducted, internally rotated and elbow is kept in an extended position. The patient demonstrates active flexion of the wrist and is firing his intrinsics, but there is no active flexion at the elbow. An MRI was obtained prior to evaluation, and a select coronal and axial image at the level of the C6 nerve root are demonstrated in Figures A and B, respectively. What is the most appropriate management at this time?
  • A
  • B
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  • A
  • B